7 years old patient with right Hemiplegia.
1. Patient was asked to climb the stairs without using the handrails. He does so with his AFO, and tries to do it reciprocally. He manages to perform the task, but his right-hand muscle tone increases due to effort.
2. Patient was asked to descend without using the handrails. He chooses a reciprocal technique. Again, the muscle tone in his plegic hands increases.
3. Patient was asked to climb reciprocally, without using his hands and without his AFO. You can see his increased plantar flexion muscle tone.
4. Descending the stairs is harder. Patient's right-side muscle tone increases while he struggles to control his right knee. Thereby, his balance is compromised, which leads to another increase in muscle tone.
A Special thanks to the "Ha'gan Ha'shikumi" and their amazing staff, for sharing their knowledge, thoughts and experience.
Video Guide 9